智利自我感知健康的社会不平等,城市环境是否重要? :一个横截面研究
Natalia López-Contreras1,2,3, Vanessa Puig-Barrachina4,5, Alejandra Vives6
1Universitat Pompeu Fabra, Barcelona, Spain. natalia.lopez@ufrontera.cl.
概括
城市环境因素对人口健康有重大影响,社会和安全方面对妇女和低收入群体的影响不成比例. 干预措施必须解决这些不平等问题,以改善公共卫生结果.
科学领域:
- 城市卫生 城市卫生
- 社会流行病学 社会流行病学
- 公共卫生政策 公共卫生政策
背景情况:
- 人口健康受到城市环境的影响,包括物理,社会和安全因素.
- 城市再生政策可以改变这些环境健康决定因素.
- 了解这些关联对于有针对性的公共卫生干预至关重要.
研究的目的:
- 分析智利社区社会,物理和安全环境与自我感知健康 (SPH) 之间的关联.
- 检查这些协会在不平等的不同轴,特别是性别和教育水平.
- 为改善健康的城市规划和政策提供信息.
主要方法:
- 使用智利2016年全国生活质量和健康调查进行的横截面研究.
- 对城市成年人 (>25岁) 低SPH的分析,涉及环境变量.
- 根据性别和教育水平分层的Poisson多级回归模型.
主要成果:
- 女性的自我感知健康 (SPH) 更差,特别是那些受教育程度较低的女性.
- 缺乏社会支持,社会参与减少,公共空间质量差与女性的SPH恶化有关.
- 感知不安全和不属于社区与男性和女性的SPH较差有关,根据教育水平的强度不同.
结论:
- 城市干预应优先考虑改善社会,物理和安全环境.
- 公共卫生战略必须考虑和解决社会经济和基于性别的不平等问题.
- 需要有针对性的政策来减轻邻居环境对健康的影响.
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